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患者男,55岁,1990—06—22主诉头痛、发热20余天,近4天加重,四肢无力。该患20天前发热、寒战、头痛、逐渐加重,在当地医院抗炎对症治疗无好转,近几天头痛伴有恶心、呕吐,不能行走4天来本院就诊。腰穿检查颅内压310mmH_2O。行头部CT扫描示左顶硬膜下及右顶叶皮层下低密度病变。门诊以高颅压及左顶硬膜下积液收入院。查体:发育正常,营养中等,慢性病容,无浅表淋巴结肿大,意识尚清,瘫痪不能行走。头部CT扫描增强检查,左右顶区硬膜下带状及不规则类梭形低密度区,CT
Male patient, 55 years old, 1990-06-22 Chief complaint headache, fever more than 20 days, nearly 4 days aggravate, limb weakness. The suffering 20 days ago fever, chills, headache, and gradually increased in the local hospital anti-inflammatory symptomatic treatment without improvement in recent days accompanied by nausea and vomiting headache, can not walk 4 days to our hospital. Waist wear test intracranial pressure 310mmH_2O. Line head CT scan showed the left top of the dural and right parietal lobe cortical low density lesions. Out-patient intracranial hypertension and left subdural effusion income hospital. Physical examination: normal development, moderate nutrition, chronic disease, superficial lymph nodes, awareness is clear, paralyzed can not walk. CT enhanced head CT examination, left and right subdural zone and irregular spindle-shaped low-density zone, CT